Evidence map›Paper›PMID 31422044›Full record

ArticleEBioMedicine2019

Application of new host biomarker profiles in quantitative point-of-care tests facilitates leprosy diagnosis in the field.

Anouk van Hooij, Susan van den Eeden, Renate Richardus, Elisa Tjon Kon Fat, Louis Wilson, Kees L M C Franken, Roel Faber, Merufa Khatun, Khorshed Alam, Abu Sufian Chowdhury and 3 more

Open access · goldAbstract read
In one paragraph

Article in EBioMedicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 3 pooled it
4.5field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 3 syntheses or guidelines pooled it, 53 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 2 institutions in 1 country.

Anouk van HooijDepartment of Infectious Diseases, Leiden University Medical Center, The Netherlands.
Susan van den EedenDepartment of Infectious Diseases, Leiden University Medical Center, The Netherlands.
Renate RichardusDepartment of Infectious Diseases, Leiden University Medical Center, The Netherlands; Department of Public Health, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Elisa Tjon Kon FatDepartment of Cell and Chemical Biology, Leiden University Medical Center, The Netherlands.
Louis WilsonDepartment of Infectious Diseases, Leiden University Medical Center, The Netherlands.
Kees L M C FrankenDepartment of Infectious Diseases, Leiden University Medical Center, The Netherlands.
Roel FaberDepartment of Public Health, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Merufa KhatunRural Health Program, The Leprosy Mission International Bangladesh, Nilphamari, Bangladesh.
Khorshed AlamRural Health Program, The Leprosy Mission International Bangladesh, Nilphamari, Bangladesh.
Abu Sufian ChowdhuryRural Health Program, The Leprosy Mission International Bangladesh, Nilphamari, Bangladesh.
Jan Hendrik RichardusDepartment of Public Health, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Paul CorstjensDepartment of Cell and Chemical Biology, Leiden University Medical Center, The Netherlands.
Annemieke GelukDepartment of Infectious Diseases, Leiden University Medical Center, The Netherlands. Electronic address: a.geluk@lumc.nl.
Leiden University Medical Center · NLErasmus MC · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTransmission of Mycobacterium leprae, the pathogen causing leprosy, is still persistent. To facilitate timely (prophylactic) treatment and reduce transmission it is vital to both early diagnose leprosy, and identify infected individuals lacking clinical symptoms. However, leprosy-specific biomarkers are limited, particularly for paucibacillary disease. Therefore, our objective was to identify new biomarkers for leprosy and assess their applicability in point-of-care (POC) tests.

methodsUsing multiplex-bead-arrays, 60 host-proteins were measured in a cross-sectional approach in 24-h whole blood assays (WBAs) collected in Bangladesh (79 patients; 54 contacts; 51 endemic controls (EC)). Next, 17 promising biomarkers were validated in WBAs of a separate cohort (55 patients; 27 EC). Finally, in a third cohort (36 patients; 20 EC), five candidate markers detectable in plasma were assessed for application in POC tests.

findingsThis study identified three new biomarkers for leprosy (ApoA1, IL-1Ra, S100A12), and confirmed five previously described biomarkers (CCL4, CRP, IL-10, IP-10, αPGL-I IgM). Overnight stimulation in WBAs provided increased specificity for leprosy and was required for IL-10, IL-1Ra and CCL4. The remaining five biomarkers were directly detectable in plasma, hence suitable for rapid POC tests. Indeed, lateral flow assays (LFAs) utilizing this five-marker profile detected both multi- and paucibacillary leprosy patients with variable immune responses.

interpretationApplication of novel host-biomarker profiles to rapid, quantitative LFAs improves leprosy diagnosis and allows POC testing in low-resource settings. This platform can thus aid diagnosis and classification of leprosy and also provides a tool to detect M.leprae infection in large-scale contact screening in the field.

Indexed as

BiomarkersHost-Pathogen InteractionsPoint-of-Care TestingAdolescentAdultChildChild, PreschoolCross-Sectional StudiesEnzyme-Linked Immunosorbent AssayFemaleHumansInfantInfant, NewbornLeprosyMaleROC CurveBiomarkersBiomarkersEarly diagnosisImmune profilingLateral flow (LF)M.lepraeUpconverting reporter particles (UCP)User-friendly rapid test

Identifiers

PMID31422044
PMCPMC6796558
OpenAlexW2968712595

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.